What is erectile dysfunction?

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What is erectile dysfunction?

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What is erectile dysfunction?

What is erectile dysfunction?

Erectile dysfunction is the inability to achieve and maintain an erection sufficient for satisfactory sexual intercourse. Once this violation was known as impotence. Today, this term is rarely used, is considered obsolete and has a condemnable undercurrent.

Erectile dysfunction appears in various forms:

  • as a permanent inability to achieve an erection
  • as inability to achieve an erection sufficient for penetration
  • as an inability to maintain an erection long enough for successful completion of sexual intercourse

How often erectile dysfunction occurs

Many men have erection problems. For some, these problems are not clearly expressed and do not arise often, and for some are pronounced and often arise.

What is erectile dysfunction?

every tenth man between the ages of 18 and 40 is experiencing erectile dysfunction

every second man aged 40 to 70 years old is experiencing erectile dysfunction

These are statistics from doctors. At the same time a lot of drugs and medicines (dietary supplements) for the treatment of ED are bought without a prescription or to see a doctor. – This statistics can not be calculated.

There are two main types of erectile dysfunction:

primary – an erection sufficient for sexual intercourse never occurred;

secondary – previously, the patient had a normal erection, but at present in 25% of cases or more often the erection is not sufficient for sexual intercourse.

Erectile dysfunction is one of the main indicators of men's health. In Russia, the prevalence of this disease is somewhat wider compared to other industrialized countries, because in Russia there is a high level of injury, alcoholism, and tobacco smoking. An important factor in the development of ED, are also stress, which leads to depression, depressed mood, reduced sexual desire. The frequency of ED in smokers is 15-20% higher than in non-smokers.

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Causes of Erectile Dysfunction

Erectile dysfunction is most often caused by organic causes. Causes can also be psychogenic or mixed (a combination of organic and psychogenic causes).

What is erectile dysfunction?

 

Psychogenic erectile dysfunction often occurs in men of young age, they are more susceptible to stress at work, depression, conflicts in the family.

The risk of erectile dysfunction also increases with excessive consumption of alcohol, smoking and overweight.

Causes of Erectile Dysfunction (Russia):

  • psychogenic (40%)
  • organic (29%)
  • mixed (25%)
  • unknown causes (6%)

These statistics reflect the fact that in Russia men are much more prone to stress, which directly affects their sexual health.

What is erectile dysfunction?

The psychogenic form is divided into two types: generalized and situationally dependent.

The generalized form arises as a result of a primary lack of sexual desire, a decrease in sexual desire (associated with aging of the body), and a permanent inhibition of libido.

Situational form may be related:

  • with a partner (lack of sexual desire in a certain situation, due to the sexual preference of the partner, fear of conflict with the partner);
  • directly with intercourse (accelerated ejaculation, expectation of failure syndrome);
  • depressed mood or stress.

Diseases and drugs that can cause erectile dysfunction

Diseases that often cause erectile dysfunction:

  • atherosclerosis
  • arterial hypertension
  • diabetes
  • hormonal dysfunctions
  • obesity
  • inflammatory and infectious diseases of the urogenital system (cystitis, pyelonephritis, epididymitis, prostatitis, paraproctitis),
  • injuries of the inguinal region, surgical interventions on the organs located in the small pelvis
  • spinal injuries
  • multiple sclerosis;
  • Parkinson's disease

Medications that can cause or worsen erectile dysfunction:

  • drugs that have an effect on the heart and blood vessels (for the treatment of high blood pressure, digitalis drugs)
  • psychotropic drugs (antipsychotics, antidepressants, anxiolytics)
  • other medications (for example, finasteride for the treatment of enlarged prostate, anti-epileptics)
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Symptoms of erectile dysfunction.

The causes of erectile dysfunction may be different, but the symptoms of this disease always appear the same. If you find the first symptoms, you should seek help from a specialist, often the symptoms of erectile dysfunction are also markers of other diseases.

General symptoms of erectile dysfunction:

  • weakening of erection: in the morning the penis is weakly erect, even during intercourse, it does not become hard enough;
  • during intercourse, the penis loses its hardness, which makes it impossible to finish it;
  • ejaculation occurs with a weak erection or happens prematurely;
  • complete or partial lack of erection during intercourse.

Diagnosis of erectile dysfunction.

  • A conversation with a specialist, filling out a questionnaire, a specialist should collect information about the surgery that was carried out on the urinary and reproductive organs, the rectum, long-term medication and alcohol abuse;
  • At the very beginning, a survey is conducted to assess the state of the cardiovascular, nervous, endocrine and reproductive systems;
  • It is necessary to exclude serious diseases such as diabetes, hypogonadism, arterial hypertension, atherosclerosis, renal failure, neurological and mental disorders;
  • The next step will be a thorough examination by a specialist: examination of the body of the penis, prostate gland (excluding adenoma, prostatitis, tumors, cancer), measurement of the size of the testicles (the smaller the size, the less male hormones are produced). It is also necessary to check the sexual reflexes, to exclude the neurological cause of impotence;
  • Conducting intracavernous vasoactive test. To determine the blood supply to the penis, drugs are used in the test dosage, this method estimates the blood supply in the vessels of the penis;
  • Fixation of night erections. Monitoring of nighttime spontaneous erections is carried out for the differential diagnosis of organic and psychogenic forms of ED. Normally, a man should have 5-6 erections per night;
  • Determination of fasting blood glucose, lipid profile, total testosterone;
  • Doppler ultrasound of the arteries of the penis.
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Prevention of erectile dysfunction.

In order for an erection to be stable, and sexual health is maintained for many years and there are no problems necessary:

  • Increase physical activity, the best option are jogging, visiting the pool, taking a contrast shower. More often be in the fresh air.
  • Adhere to proper nutrition. Do not eat fatty foods, which contributes to the accumulation of excess weight and, consequently, leads to erectile dysfunction. Products that increase potency: peanuts, pistachios, oranges, lemons, pomegranates, onions, dairy dishes, meat, fish, shellfish, shrimps, and other crustaceans.
  • Refuse or reduce the consumption of strong coffee and tea.
  • Restrict alcohol intake, stop smoking and drugs.
  • Get rid of psychological stress, anxiety, stop quarreling with a partner, do not concentrate on previous failures.
  • Control blood pressure, because pressure is one of the main causes of erectile dysfunction
  • Do not take drugs without a doctor's recommendation, as some have a negative effect on potency.
  • Discard tight or tight linen. Synthetic underwear, especially tight-fitting, leads to overheating, as a result, the work of the ovaries and the prostate deteriorates and, as a result, the potency decreases. It is necessary to wear free linen from natural fabric.
  • To lead a regular sex life. The more often a man has sex (optimally 2-3 times a week), the less often there are problems with potency. Regular ejaculation is a good prevention of prostate gland swelling.

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